My SIBO Treatment With Rifaximin + Neomycin, ROUND 2

My SIBO Treatment with Rifaximin + Neomycin ROUND 2// In this video, I share my SIBO before and after experience with my second round of SIBO treatment using rifaximin for SIBO. Learn what I discovered about which of my supposed SIBO symptoms are actually related to SIBO. Also learn about what I'm doing after SIBO treatment. This video covers Rifaximin side effects and the Rifaximin for SIBO treatment protocol.
Be sure to check out My SIBO Treatment with Rifaximin + Neomycin, part 1:
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[@ConfluenceNutrition]

Thanks so much for watching. Do you have questions about SIBO treatment? Leave me a comment below!

[@pamelaflores1126]

Hi I took metronidazole 500 mg 3 times a day with levoflovcin 500 mg 1 time a day for what was supposed to be 10 days. But only could do 8 days because I developed ligament pain. Will these days be enough to kill the H -Pylori or must I undergo more antibiotics. I’m now on a 10 course of diflucan for oral thrush that the antibiotics caused?? Also pepto bismo and Pepcid.

[@ConfluenceNutrition]

@@pamelaflores1126 Hi Pamela, I don't know if that's sufficient to clear the H. pylori. If you're not sure, you can ask your doctor to order a test to check. Probiotics may help rebalance the thrush and your beneficial bacteria...check out this video to learn more: kzbin.info/www/bejne/enOpdJx8l6xgabs

[@pamelaflores1126]

@@ConfluenceNutrition I finished the meds on April 29, said I had to wait a couple weeks before retesting. But still suffering with this stomach do more then likely the hpylore isn’t gone

[@ConfluenceNutrition]

@@pamelaflores1126 The symptoms can persist after treatment even if the infection is gone. THat's why these situations often require some detective work. If you'd like to learn more about how I can help, please reach out.

[@pamelaflores1126]

@@ConfluenceNutrition yes I’d like to know how you can help.

[@sissywilliams9128]

I am starting my first round of treatment today. I’ve suffered with GI issues for 30 years but this past year has pushed me over the edge. I average no more than 5 BMs a month for years. I had never heard of SIBO until I went to the GI Dr a month ago. I’m so grateful he tested me for it. I am so hopeful this is going to work as I have tried everything! I have felt horrible for so long. Fingers crossed. Thank you for sharing your experience. I’m trying to learn as much as possible so that when I wipe it out, I don’t ever allow it to happen again.

[@ConfluenceNutrition]

Hi Sissy, good luck with your treatment, may your dream of having normal BMs be realized! Thanks for watching!

[@itsagoodday2165]

How did it go for you?

[@xeniahernandez9535]

Did it work ?

[@dragoh7102]

im so glad you are posting these videos, I as well have SIBO and or IBS and my ND is putting me on this same treatment currently waiting on the rifax.

[@ConfluenceNutrition]

I'm glad they feel helpful and reassuring, Evannn! Thanks for watching!

[@xeniahernandez9535]

Did rifaximin help?

[@dragoh7102]

@@xeniahernandez9535 it did for a few months and then it came back what ultimately helped believe it or not was a prolonged fast

[@culizocolonense]

@@dragoh7102intermittent fasting?

[@ravibanoth4340]

Hi medam iam in indian,iam suffering ibs-diaheria and h pylori infection,body weakness,joints pains, anxiety coming,panic attacks coming how to reduce mam,sinc one year to suffer..iam using refaxmin 550mg per day two times in 14 days and h pylori treatment using 14 days but no cure ... headache anxiety coming please suggestions mam

[@lavanderkiss1311]

I just found your channel and I am amazed by all your knowledge and information. I am currently experiencing symptoms of sibo and my gastro prescribed rifaximin, I should be starting soon. I am currently taking HCL supplements Have you taken it while taking the prescription medication. ? I will appreciate any assistance Thanks for sharing your journey

[@ConfluenceNutrition]

Hi Lavender Kiss, I'm glad you're finding my channel helpful! I personally was not using HCL while taking rifaximin, mostly because I had stopped using it long before due to it seeming to make my symptoms worse. The latest research-backed theory is that HCL makes SIBO worse for many, (see this video here for more on that: kzbin.info/www/bejne/moCXp2lvec2lhck) but if you feel like it's helping you, this is usually what I suggest people use to guide themselves. I hope that helps!

[@samuelsnell9474]

Hi i finished ,my antibotis ,had linx operation , still got acid reflux after finishing antibiotics,is this normal now going start fodmap diet

[@brandomgarcia2245]

Hi! I’ve done my first cycle of rifaximin and considering to start my second. My gastro says he can’t give me a second cycle until 1 year has passed. No reason was given however when did you start your second cycle after the first one? Looking forward!

[@trissyriggs2402]

What is your diet while you are doing this treatment have you ever done Colonics or enemas for your constipation?

[@juanpablovelasco1474]

Hi Amanda, I'm glad to hear that the treatment is working for you. I want to ask you about the Neomycin, in my country they dont sale it. Is there any other antibiotic that has a similar effect (maybe Eritomicin or Matronidazole)?

[@ConfluenceNutrition]

Yes, I believe an alternative that is sometimes recommended by Dr. Pimentel and others in the SIBO community is metronidazole. Thanks for your question :)

[@mariajaramillo6515]

Are you take probiótics after the treatment?

[@stellat2405]

Chilling and fatigue is maybe due to leaky gut and die off effect of the treatment can cause immune response and brain blood barrier penetration.

[@ConfluenceNutrition]

When I went through it, it seemed like it was a die off reaction. Thankfully, it passed! Thanks for watching, and for your comment :)

[@stellat2405]

​@@ConfluenceNutrition I thank You! I just found you and I am immersed to the excellent material you have. Just one question. I am on Rifaxamin for slight SIBO nothing crucial. doing Keto for 3 years and after 7 days I have diarrhea. Not having any pooping problems due to high fiber intake and prebiotics. Is this normal in day 7 on Rifaximin but without serious SIBO issues due to Keto mostly?

[@ConfluenceNutrition]

@@stellat2405 Hi Stella, anytime we change the gut microbiome, we can see these changes in the stool. And also with SIBO treatment, the rifaximin can change the composition of the SIBO, and change symptoms as well. This can also be a die-off reaction. It's a really good idea to retest 2 weeks (minimum) after your treatment to assess how things have changed, both on the test, and with how you feel, and to go from there. Keep me posted!

[@dizzman5546]

I looked up Neomycin, and it says its causes diarrhea, and I tried 5 day course of Rifaximin, for my loose stools, didnt work at alll.

[@ConfluenceNutrition]

Hi there, side effects can vary widely between individuals, most antibiotics can cause diarrhea in some people. 5 days of rifaxamin is not he recommendation, usually it's a 14 day course, and sometimes it doesn't help until well into the second week. It varies so much, but it at least has to used properly to give it a full trial! Sorry you felt like it didn't help.

[@dizzman5546]

@@ConfluenceNutrition Its not your fault, I had severe loose stools everyday all day for over 7 years, and I am going crazy from this condition, and absolutely no one on this planet has been able to tell me what is going on. Thank you.

[@maheshtanay]

Hi dear, so can i take leaky gut supplements like collagen, slippery elm and glutamine?

[@ConfluenceNutrition]

If you notice that they improve how you feel, or don't make things worse, then yes, you can add those supplements to your routine, whether for SIBO or other purposes. Thanks for watching!

[@arupdebbarma4420]

Hello mam can i take for 7 day for sibo I have lots of symtoms like neck pain nausea...joint pain blur vision

[@daniel-1998]

Hi would Metronidazole be a good substitute for neomycin. It is discontinued over here in the UK.

[@ConfluenceNutrition]

Yes, metronidazole is the standard alternative to neomycin in the SIBO protocols recommended by Dr. Pimentel and others. Thanks for watching!

[@forceawakens9386]

Digestive enzymes vs bitters? Which are best

[@ConfluenceNutrition]

They are neither better or worse...they perform different functions. Enzymes help break your food down into the small bits your small intestine can absorb, and bitters help encourage your digestive juices, like enzymes, stomach acid, and bile. They are complimentary. Not everyone needs them, but you can test they and see how your digestion responds. Thanks for your question!

[@MonicaPazNourishedFN]

Can you share the recordings with us?

[@ConfluenceNutrition]

Hi Monica, I'd love to, but what do you mean? Which recordings? :)

[@maheshtanay]

Only one antibiotics (rifaximin) enough to treat sibo and gut bacteria?

[@ConfluenceNutrition]

Sometimes...but research has shown the two together are more successful.

[@belindamartins1903]

Thanks for sharing your journey. How are you doing now? Is the bloating gone?

[@ConfluenceNutrition]

Hi Belinda, thanks for asking! I'm going to make a new video (hopefully next week) about my latest experience, but in short, I just did another round of treatment, and this one didn't go very well. Everything flared up big time. I'll be testing again in another week to learn more about what's happening. Thanks so much for watching!

[@belindamartins1903]

@@ConfluenceNutrition hi, did you end up making a follow up video? If yes? Could you please link me :)

[@ConfluenceNutrition]

@@belindamartins1903 Hi Belinda, you can always go to my channel homepage to find the other videos: kzbin.info, but I did make two follow up videos: My Recent SIBO Test Results kzbin.info/www/bejne/bqfYZHx8mbGmnpo and SIBO Treatment Round 3 FAIL kzbin.info/www/bejne/bpSWh36Qj5Jsd6M. And hopefully this week, I'll release a final follow up video in the series! THanks for watching!

[@dexten3356]

How long does your rounds last? 1 and second. Im wondering to take rifaximin and hgg. Im hydrogen dominant

[@ConfluenceNutrition]

My ND prescribed 21 days of the antbiotics both rounds. Thanks for watching!

[@dexten3356]

@@ConfluenceNutrition thanks for reply :)

[@ConfluenceNutrition]

@@dexten3356 You're welcome!

[@MonicaPazNourishedFN]

Your meditation recordings

[@ConfluenceNutrition]

LOL! Of course! The product is called EquiSync, I am sooo loving them... here is the option to buy them as downloadable recordings, though it looks like they are moving to a subscription model or maybe towards an app. eocinstitute.org/meditation/Order_Equisync/

[@sharonsemtner]

I’m needing start again… 😢 it’s so upsetting.

[@lotsoftorque3632]

Are you doing better now? You obviously have something wrong that is causing this repetitive SIBO. whether it be celiac disease, Pancreatic insufficiency, low stomach acid, or something of that nature.

[@ConfluenceNutrition]

Hi there, yes, I'm improving and my test results prove it (my new video just came out today with the test results). And yes, there are underlying issues...for me, I believe it's my history of endometriosis and abdominal scar tissue. I'm planning to address this summer with an intensive program of physical therapy. Stay tuned for that report in August!

[@billybond8020]

Hello, I came across your you tube and your story seem very similar to mine. I suffered from endometriosis and had a complete hysterectomy. That’s when my symptoms started. And have gotten worst. I have bloating constipation to the point where I had to have hernia repair . Again I just keep getting worst. They removed my appendix because my pain is very near the lower right side. Now they think I have sibo. My question to you is how do you know you have adhesions ,because I think that is what I have and what do you do about it. Sometimes the pain is so bad I cannot get out of bed. My name is not Bill, I have no idea why it says that!

[@ConfluenceNutrition]

Hi there, basically, if you've had endometriosis, you can pretty much presume you have adhesions. Doubly so if you've had abdominal surgery. I did the Clear Passage therapy last fall, and as we delved through the layers of injury, there were definintely adhesions, stuck places, lack of mobility for my intestines and other organs. Unfortunately, the therapy didn't seem to really make a difference in my motility or long term SIBO relief, I think because the freedom has led to profound sagging and laxity, and I lack a lot of core strength at this stage of my life...so for me, i have to work on this, and maybe keep digging for my root cause. I'm circling back around to hormones being the main culprit for me...I feel you with your constipation and pain. It's also probable that unless you had wide excision surgery, there are still endometriosis implants elsewhere in your abdomen. Thanks so much for watching!

[@asimmohammad1201]

Hello mam. I am suffering with sibo . What should be the diet . And for how long we have to use rifixamin 550 mg . And also I am having a lack of bile . Lack of bile may be cause sibo . What. Supplements are useful for kill the sibo .. I have low stomach acid always and I have hypothyroidism and arthritis due to sibo and leaky gut

[@ConfluenceNutrition]

Hi Asim, thanks for your questions! There's no one right diet for everyone with SIBO, but some diets I suggest for SIBO clients are the Low FODMAP diet or the low histamine diet, depending on your specific symptoms. I talk about how to decide in this video: kzbin.info/www/bejne/ZmK2oXRpfJ6kq5I The rifaximin Rx is usually 14-21 days, depending on how your doctor prescribes. Eating dark leafy greens and digestive bitters can help stimulate bile flow, and so can supporting your stomach acid. See this video about stomach acid support: kzbin.info/www/bejne/sJmVaaN7d5uYn7c Herbal supplements for SIBO are varied and individualized, it's too much to answer here! But this sounds like a good topic for a video. Thanks so much for watching!

[@silentwords4607]

Hi Amanda Have you cured sibo completely ?

[@ConfluenceNutrition]

Well, I'm hesitant to say cured completely, but so far, 6 months after my final treatment and doing the Clear Passage therapy, I'm still in remission. Recurrence is very common within a year, so I'm keeping an eye on my symptoms, and continuing to support my gut as always. Thanks for asking and watching! My video that is coming out tomorrow tells the whole story :)

[@silentwords4607]

@@ConfluenceNutrition ok got it But did you ever feel mucus in Stool by having this sibo ?

[@silentwords4607]

@@ConfluenceNutrition Are you going to surgery for this specific sibo ?

[@ConfluenceNutrition]

@@silentwords4607 No, I never had mucus in my stool. If you are having that symptoms, I highly suggest discussing this with your doctor, it's a relatively serious symptoms that needs to be evaluated.

[@ConfluenceNutrition]

@@silentwords4607 No, not at all! There is no surgery required for SIBO!

[@AndyGaustad-vk2qv]

Can you tell me how long in between treatments of rifaxamin you're taking? And how long of a course? (10 days or even 21?) Also, have you tried using the herbal route in between meds? I've mostly heard of people using Berberine, Oregano and Neem supps.

[@ConfluenceNutrition]

Hi Andy, I used rifaximin with neomycin in Feb 2021, April 2021, July 2021, and after Clear Passage, in December 2021. Each course was 21 days, as prescribed by my Naturopath. I did not use herbals in between because I no longer tolerate them, and they are themselves antibiotics. I don't recommend or encourage continous antimicrobials/antibiotics. I like to retest 2 weeks post treatment, and reassess my plan after that. I also followed up some of my treatment protocols with antifungal medication, which also really helped move my symptom relief along. I hope that helps!

[@culizocolonense]

@@ConfluenceNutritionWait can naturopaths prescribe antibiotics???

[@queengirl9207]

What about your good bacteria? Did you have to replenish those bacteria?

[@ConfluenceNutrition]

Hi Queen Girl, this is really individualized. Ideally, yes, you would repopulate your gut using high quality probiotics. However, this is a risk for redeveloping SIBO, especially if you haven't solved the original motility problem that led to the SIBO. Also, some people continue to not tolerate probiotics very well, even after SIBO treatment. I am one of those people! Probiotics bloat me. The alternative is to find fiber sources you can tolerate, and slowly increase them over time, which provides food and habitat for the probiotics we all naturally consume in our foods. Hope this helps!

[@johnmoriarty9881]

Did you have any issues with herxheimer reactions on you journy.

[@ConfluenceNutrition]

Yes, usually once during each course of antibiotics. It came at different parts of the treatment course each time. Though for me it was typically later in the course.

[@forceawakens9386]

Can spicy and acidic foods treat achlorhydria? Bitters are high in pH so why not neutralize HCL?

[@ConfluenceNutrition]

That is an interesting question that I'm not sure of the answer. I do often suggest lemon juice or apple cider vinegar to help support my clients' stomach acid, so yes, acidic foods can be used in this way. I don't know about spicy foods for this purpose. Bitters may be alkaline, but their function isn't so much about changing pH as they stimulate the production of bile from the gall bladder and other digestive secretions, including enzymes, saliva, and stomach acid, which can contribute to good digestive function and effective digestion. Though your thinking is good here, it's a little deep in the weeds. Generally, supporting the digestive juices helps things along, unless you have gastritis or ulcers, in which case that needs to be handled before encouraging stomach acid in particular. Thanks for watching!

[@maheshtanay]

Hi dear, any alternative for Neomycin? This particular antibiotics not available here need to consult doctor.

[@ConfluenceNutrition]

Sometimes metronidazole is recommended instead, You can read about the treatment protocols on Dr. Allison Siebecker's site: siboinfo.com.

[@pachuco1674]

You need to find your root cause for sibo. That's why it keeps coming back and your 2nd treatment wasn't effective.

[@ConfluenceNutrition]

HI, thanks for your comment...it's not that SIBO came back, but that it wasn't completely eradicated yet. This is why I advocate for testing after a round of treatment, and treating until SIBO is gone. Once I got to a place where I was SIBO negative, THEN I was able to address my root cause, which was scar tissue from previous endometriosis and surgery. I did the Clear Passage physical therapy program 2 years ago and have continued to be SIBO free.

[@pachuco1674]

@@ConfluenceNutrition Oh nice awesome, congratulations btw!

[@ConfluenceNutrition]

@@pachuco1674 Thank you !

[@b2andre]

Out of curiosity, did anyone suggest colloidal silver? If so, why did you decide to not take it?

[@ConfluenceNutrition]

I have never been recommended colloidal silver for SIBO, nor seen it mentioned from the main SIBO doctors, or in the SIBO research. Have you? I would be curious to hear more about it if you have...

[@angie2129]

Will be interested to hear how you feel after the antifungal. Is it a prescription or natural? Keep us posted!

[@ConfluenceNutrition]

I plan to do a video on it, so subscribe to see how things turn out! For now, I'm on pause, while I was doing my follow up SIBO test! Will get started again today or tomorrow. Thanks for watching!

[@shannonnelson7764]

Hi Amanda! Did you take NAC at the exact same time as your Xifaxan-Neomycin Combo? Just wondering in case there are any drug interactions.

[@shannonnelson7764]

Also curious about taking Magnesium Citrate before bed during treatment. I don't want to effect the effectiveness of the antibiotics.

[@ConfluenceNutrition]

I took mine at the same time, or I will advise a little ways before if tolerated (sometimes biofilm busters can lead to nausea). I get nauseous easily so took mine with my antibiotics.

[@ConfluenceNutrition]

@@shannonnelson7764 This shouldn't impact the effect of the antibiotics.

[@maheshtanay]

Hi dear, i have a question for you. These antibiotics also kills lactobacillus bacteria? If not what are the antibiotics kills lactobacillus?

[@ConfluenceNutrition]

I don't know about their specific effect on specific species of bacteria, but They primarily target whatever is in the small intestine, and lactobacillus are typically in the large intestine. I don't know which antibiotics specifically target lactobacillus. DO you have an overgrowth of lactobacillus? If so, how did you find out that information?

[@maheshtanay]

@@ConfluenceNutrition i started taking lactobacillus 120 million spores for 2 months and after taking two months i added few more strains like bifi, lactobacillus and other two strains for two months, i noticed that some small red spots appears on my skin i was scared, i stopped taking those and again i added others probiotics strains for few days then problem was started here like heavy constipation, depression, skin stone changed, no sleep. Then after i cleared up my stomach with lemon and honey on empty stomach in the morning after few days i felt great again i added lactobacillus in my diet and few days feeled great. When i eat fermented food or yoghurt some small white spots started appears on my skin and started eczema. I observed few white patches are discolored with actual skin color. Im so depressed 😓 right now.

[@ConfluenceNutrition]

@@maheshtanay OK, this is simply an indication that your body doesn't need these probiotics right now...you could try the two other types: saccharomyces boulardii and/or soil-based probiotics (Bacillus species). And in general, a start low and go slow strategy is helpful, in case you have reactions... I hope that helps. THis video may be helpful: kzbin.info/www/bejne/enOpdJx8l6xgabs

[@emmapearce3711]

I smiled so hard when I heard you felt amazing in your stomach. Are you going to build back up the gut with ferments or waiting to get a test first? For prokinetic would you could a non pharmaceutical such as ginger. I find organic pure synergy ginger good, its one a day.

[@ConfluenceNutrition]

Hi Emma, it makes me smile too! I will be slowly working probiotics back in. I'm also starting a course of antifungals. Non pharma prokinetics can definitely be used. I've tried Motil Pro before, but it gives me really bad reflux, so I maybe need to do some more research. For now, I seem to have good motility post treatment, so I'm not worrying about it. I just ran a test over the weekend, so when I get results, I'll be sure to do a video about it. Thanks for watching!

[@MrBmo429]

Where did you get rifaximin

[@ConfluenceNutrition]

I ordered through Mark's Marine Pharmacy in Vancouver, BC, Canada. It was generic and came via India.

[@pamelaflores1126]

Is sibo the same as H-Pylori

[@ConfluenceNutrition]

Hi Pamela, no, SIBO is an overgrowth of normally occuring bacteria in the small intestine, while H. pylori is a specific pathogenic bacterial infection that infects the lining of the stomach. Thanks for your question!

[@affordableaquariumservices1663]

I had a breath test my baseline hydrogen was 3 and after 90 minutes it was 23. Does this mean i have sibo. Dr. Said no since its borderline but im bloated 24/7

[@ConfluenceNutrition]

Hi Yilmaz, without knowing more about your case it's difficult to say, but especially if your gut moves on the slow side, this could indicate SIBO in the far end of your small intestine. Around the 90 minute mark is the transition to the large intestine, so that rise in gases may show that...there can be other reasons for bloating besides SIBO.Let me know if you'd like to know how I could help you investigate the causes! Thanks for watching!

[@affordableaquariumservices1663]

@@ConfluenceNutrition doent answer my question. Based on that specific number. Is it classied as sibo? 20?

[@ConfluenceNutrition]

@@affordableaquariumservices1663 Well, like your doctor said, it's borderline. An increase of greater than or equal to 20 in hydrogen gas is technically SIBO, but the increase may be reflecting what's happening in your large intestine, since that rise is so close to the transition. Given your symptoms, and that test result, I would guess that you have SIBO, and could try treating with the guidance of your health practitioner, and see if that improves symptoms. IF not, I would look for other causes. Does that make sense?

[@affordableaquariumservices1663]

@@ConfluenceNutrition I've been going through three years of testing ultrasound CT scans MRIs gastric emptying test every single blood test every single stool test you can think of all came back negative breath test is is the only test that showed something so I'm positive I have sibo but this doctor thinks based on that number I don't have it

[@ConfluenceNutrition]

@@affordableaquariumservices1663 if it were me, in this case I would use a round of treatment and see if my symptoms shift. And are you attending to your diet?

[@justinsabol1969]

I just take Berberine

[@ConfluenceNutrition]

Yes, berberine is one of the common herbal options for working on SIBO. I, sadly, don't tolerate it!

[@culizocolonense]

@@ConfluenceNutritioni can’t tolerate NO herbal antibiotics. Can naturopaths prescribe antibiotics? and if i don’t tolerate herbal treatments should i consider taking neomycin and rifaximin??

[@xiomaramorales2874]

The acne is probably because your hair lands in that section of your face.

[@ConfluenceNutrition]

Thanks for your comment.